HomeMy WebLinkAboutZ-18323 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
CERTIFICATE OF OCCUPANCY
No Z-18323 Date AUGUST 30, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 220 EAST LEGION AVE. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 143 Block 4 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9, 1957 pursuant to which
CERT. OF OCCCUPANCY #Z-18323 dated AUGUST 30, 1989
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ACCESSORY ONE CAR WOOD FRAME GARAGE*
The certificate is issued to HARRY C. & RUTH RHODES
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDI�NIG DEPARTMENT
T0I9N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 220 East Legion Avenue Mattituck, New York
(number & street) (Municipality)
Subdivision Map No. Lot(s)
Name of Owner(s ) HARRY C. & RUTH RHODES
Occupancy RES. R-40 OWNER
type owner-tenant
Admitted by: EVELYN RASSMUSSEN Accompanied by: SAME
Key available 'Suffolk C.o.. Tax No. 143-4-5
,.Source of request WILLIAM J. CLARK Date 5/23/89
DWELLING
Type of construction WOOD FRAME #stories ONE
Foundation CEMENT BLOCK Cellar 1/4 Crawl space 3/4
Total rooms , 1st. Fl 4 2nd. F1 - - 3rd. Fl - -
Bathroom(s) ONE FULL Toilet room(s) - -
Porch, t.yrpeREAR ENCLOSED Deck, type - - Patio, type_ - -
Breezeway - - Garage - - Utility room - -
Type Heat ELECTRIC Warm Air Hotwater
Fireplace(s) STONE No. E:cits 2 Airconditioni ng - -
Domestic hotwater LILCO GAS Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. 1 CAR WOOD FRAMEStorage, type const. NONE
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER.. 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description Art. 1 Sec .
EXTERIOR TRIM EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD
CONDITION. SURFACES NOT INHERENTLY RESISTANT TO
DETERIORATION SHALL BE TREATED WITH A PORTECTIVE
COATING OF PAINT OR OTHER SUITABLE PRESERVATIVE. 1242 I 5/1
Remarks• B.P. 018 73/C0 Z-18085
Inspected by: Date of Insp. MAY 31, 1989
G FISH Time start 9:40 end 10:00
r
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. May. 23.,. 1989.
NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING -BUILDING. . . . .VACANT LAND. . . . . . . .
Location of Property. . . . . . 220.E.. Legion_Ave. ,_Mattituck,. N.Y.. 11952 _ . _ _ .
HOUSE NO. . . STREET HAMLET
7 Ruth and Harry C . Rhodes
Owner or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
County Tax Map No. 1000 Section 1 . . . _ Block4. . . . . . . Lot . 5. . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . .
Permit No. . . . . . . . . . .Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . ... . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
X
Request for Temporary Certificate . . . . . . . Final Certificate . . . . . . . . . . . . . . . .
Fee Submitted: $ . . .100 .00 . . . . . . . . . . .
APPLICANT. . .4: . . . . . . . . . . . . . . . . .
rev. 10/ 14/88
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CONSENT MAY 2,6 1989
TO BLACa.
INSPECTION TOV�(V OF SOUL Lo
Harry c . Rhodes & Ruth Rhodes, the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 220 East Legion Avenue , Mattituck , New York
which is shown and designated on the Suffolk-
County tax map as District 1000, Section 143 . , Block 4 Lot 5
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for existing building prior to April 9 , 1957
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: May 24 , 1989
(sig ture)
Attorney for owners
(print name)
William J . Clark
(signature)
(print name)
J
BUILDI_;G DE?:'-P.i I I
TOWN OF SOUTjt'1OLD2 N. Y.
N:OUSIi:G CODE IiiSpECTIGi7 REPORT
Location
Subdivision 'klap...No . Lot(s)
Name of Owner(s) C y-
Occupancy es, , 1/0
� '-YPo �.o
_ (owner-zenan�)
Admi-tted by-:: _ -ACOQMPuni ed . by
Key available Suffolk Co. Tax No.
Source of request
Date
D.ELLING: _
Type of construction_
r stories
6�2,
Foundation
Cellar Crawl space �y
Total rooms, 1st. F1 �{ 2nd. Fl-
3rd. F1 --
Bathroom(s) 2 Toilet room(s)
Porch, type Deck, type
Patio, type
Breeze;aay Garage Utility room •
Type Heat . - warm Air
Ho twater
Fireplaces) No. Exits o2
Airconditioning
Domestic hotwaterc_� Type heaier
Other
ACCESSORY STRUCTURE'S:
Garage, type const.
_ ckk�� Btor.age, type const.
Swimming pool Gues
Other _t t YPe const.
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description
.�._ � � Art. I Sec.
Remarks': b�t I op/ 7.3 C o# /?o JOS
Inspected by: Date of Insp._ ,5_)J,11P9
Time start end to; ao